Cost-effectiveness and readmission rates of laparoscopic vs. open surgery for colorectal cancer: evidence from the health insurance review and assessment service dataset in South Korea

Front. Surg.

Sec. Colorectal and Proctological Surgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1543920

Provisionally accepted

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We aimed to compare and analyze the cost-effectiveness of laparoscopic versus open colorectal surgery (CRS) for colorectal cancer using health insurance claims data derived from multiple institutions in South Korea as well as the differences in hospital length of stay (LOS) and 30-day readmission rates related to postoperative complications.We retrospectively reviewed the clinical data of patients who underwent curative resection for colorectal cancer between January 1, 2020 and December 31, 2022 using national health insurance claims data in South Korea. We determined the surgical approach based on the presence or absence of treatment material codes specific to laparoscopic surgery, and divided the patients into the laparoscopic-CRS (lap-CRS) and open-CRS groups.Results: A total of 34,779 patients were included (open-CRS: 3,262 patients [9.4%]; lap-CRS: 31,517 patients [90.6%]). The mean LOS was 14.11 and 11.27 days for the open-and lap-CRS groups, respectively (p

Keywords: Colorectal Neoplasms, Colorectal Surgery, Hospital Costs, Hospital readmission, Laparoscopy

Received: 12 Dec 2024; Accepted: 08 Jan 2025.

Copyright: © 2025 . This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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